Physician
Epifania M. Caturay, Mdpa
Epifania M. Caturay, Mdpa was paid $4.22M by Medicaid between Jan 2018 and Dec 2024, across 77 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoEPIFANIA M. CATURAY, MDPA
GRAND PRAIRIE, TX 75051
GRAND PRAIRIE, TX 75051
33aNPI1417134255assigned 01/23/2008
33bProvider typePediatrics Physician
28Total paid$4.22M
24GClaims243,623
24DCodes billed77
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#106 of 1,136
Median peer was paid$329K
This provider vs. median13×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,296 | $41K | |
| 2019 | 1,024 | $36K | |
| 2020 | 20,683 | $353K | |
| 2021 | 76,488 | $1.33M | |
| 2022 | 66,994 | $1.00M | |
| 2023 | 52,652 | $903K | |
| 2024incomplete | 24,486 | $553K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 37,785 | 33,369 | $1.16M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 8,056 | 7,291 | $519K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 7,340 | 6,501 | $450K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.3% | 5,928 | 5,229 | $391K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.0% | 4,197 | 3,751 | $297K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.0% | 34,387 | 15,106 | $294K |
| S8301 | Infection control supplies, not otherwise specified | 6.0% | 9,428 | 8,009 | $255K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 5,212 | 4,722 | $101K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.3% | 9,244 | 2,393 | $96K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.5% | 1,699 | 1,522 | $65K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.3% | 1,686 | 1,170 | $54K |
| 99381 | 1.3% | 880 | 798 | $54K |
65 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 7,581 | $47K |
| 99203 | Doctor's office visit, new patient (routine) | 1.0% | 995 | $43K |
| 90461 | 1.0% | 8,170 | $43K | |
| 97802 | <1% | 11,736 | $39K | |
| 99460 | <1% | 584 | $35K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,843 | $32K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 727 | $28K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 425 | $22K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 478 | $21K |
| 99001 | <1% | 4,226 | $18K | |
| 99383 | <1% | 300 | $18K | |
| 99442 | <1% | 500 | $18K | |
| 99384 | <1% | 202 | $16K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,744 | $13K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,441 | $13K |
| 92551 | <1% | 5,618 | $13K | |
| 99382 | <1% | 167 | $7K | |
| 83655 | <1% | 1,403 | $7K | |
| 99050 | <1% | 520 | $7K | |
| 96160 | <1% | 8,025 | $6K | |
| 99422 | <1% | 617 | $5K | |
| 94760 | <1% | 3,608 | $4K | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 111 | $4K |
| 0001A | <1% | 122 | $3K | |
| 99462 | <1% | 82 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 31 | $2K |
| 0071A | <1% | 50 | $2K | |
| 94761 | <1% | 927 | $2K | |
| 0002A | <1% | 115 | $2K | |
| 90677 | <1% | 773 | $2K | |
| 86769 | <1% | 64 | $1K | |
| 85018 | <1% | 1,437 | $1K | |
| 86328 | <1% | 19 | $859.37 | |
| 96161 | <1% | 4,605 | $703.26 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 493 | $593.32 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $467.49 |
| 87807 | <1% | 66 | $436.41 | |
| 99441 | <1% | 18 | $416.24 | |
| 81002 | <1% | 98 | $269.64 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 17 | $176.88 |
| 87400 | <1% | 28 | $154.31 | |
| 81003 | <1% | 48 | $75.60 | |
| 90734 | <1% | 1,293 | $27.89 | |
| 90670 | <1% | 4,753 | $27.72 | |
| A9150 | Non-prescription drugs | <1% | 211 | $24.62 |
| 36416 | <1% | 468 | $24.30 | |
| 90648 | <1% | 5,512 | $24.11 | |
| 99173 | <1% | 7,798 | $14.44 | |
| 90686 | <1% | 5,969 | $1.53 | |
| 90723 | <1% | 6,558 | $0.90 | |
| 90620 | <1% | 891 | $0.49 | |
| 90651 | <1% | 1,492 | $0.23 | |
| 91307 | <1% | 138 | $0.20 | |
| 90715 | <1% | 666 | $0.14 | |
| 90710 | <1% | 3,288 | $0.11 | |
| 90681 | <1% | 1,889 | $0.11 | |
| 90633 | <1% | 2,508 | $0.05 | |
| 90688 | <1% | 627 | $0.04 | |
| 91300 | <1% | 352 | $0.03 | |
| 90696 | <1% | 962 | $0.03 | |
| 90700 | <1% | 961 | $0.01 | |
| G9920 | Screening performed and negative | 0% | 212 | $0.00 |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 165 | $0.00 |
| 99080 | 0% | 15 | $0.00 | |
| 99051 | 0% | 25 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCATURAY, EPIFANIA (PRESIDENT)